2019-04-30T19:39:59-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-07-01 920041961 ILIULIUK FAMILY & HEALTH SERVICES ILIU 9075811202 PO BOX 144 UNALASKA AK 99685 AMY DOWDS BOARD CHAIR 9075811202 2019-04-27 1 KURT BENNION CPA P01469618 4252506100 2019-04-27 67.137.57.251 2019-04-27 06:28:44 PD P D9296ABB841A0B8370F91367E66032AC87F74933 33F877C3ABFBB78B8EF2964D67A95BC3B590144C 2017 2019-02-21 02:37:17Z AMY DOWDS PO BOX 144 UNALASKA AK 99685 4848894 0 X WWW.IFHS.ORG X 1972 AK TO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO RESIDENTS OF THE UNALASKA REGION. 11 11 58 13 0 0 1580766 2062246 3932246 2693915 4919 4566 99928 88167 5617859 4848894 0 0 0 0 3754090 3234166 12271 0 0 2325684 2166916 6092045 5401082 -474186 -552188 3880569 3298504 458434 420378 3422135 2878126 TO PROVIDE PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO PERMANENT AND TEMPORARY RESIDENTS OF UNALASKA, THE FISHING FLEET OF THE BERING SEA, AND THE OUTLYING ISLANDS OF ATKA, AKUTAN, AND NIKOLSKI. 0 0 3794244 0 2444017 PROVIDED PRIMARY HEALTH CARE AND EMERGENCY MEDICAL SERVICES TO PERMANENT AND TEMPORARY RESIDENTS OF UNALASKA, THE FISHING FLEET OF THE BERING SEA, AND THE OUTLYING ISLANDS OF ATKA, AKUTAN, AND NIKOLSKI. 329021 0 106782 PROVIDED COUNSELING TO PERMANENT AND TEMPORARY RESIDENTS OF UNALASKA, THE FISHING FLEET OF THE BERING SEA, AND THE OUTLYING ISLANDS OF ATKA, AKUTAN, AND NIKOLSKI. 223099 0 143116 PROVIDED DENTAL SERVICES TO PERMANENT AND TEMPORARY RESIDENTS OF UNALASKA, THE FISHING FLEET OF THE BERING SEA, AND THE OUTLYING ISLANDS OF ATKA, AKUTAN, AND NIKOLSKI. 4346364 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 58 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 AK X BILLIE JO GEHRING 9075818655 PO BOX 144 UNALASKA AK 99685 BILLIE JO GEHRING PRESIDENT 2.00 X X 0 0 0 SHARON SVARNY-LIVINGSTON VICE PRESIDENT 2.00 X X 0 0 0 JOEL COLLINS SECRETARY TREASURER (THROUGH DECEMBER 2017) 2.00 X X 0 0 0 ANNA POOLE BOARD MEMBER & SECRETARY/TREASURER 2.00 X X 0 0 0 LYDIA GORDON BOARD MEMBER (THROUGH JUNE 2018) 1.00 X 0 0 0 HARRIETT BERIKOFF BOARD MEMBER 1.00 X 0 0 0 AMY DOWDS BOARD MEMBER 1.00 X 0 0 0 VICTOR FISHER BOARD MEMBER 1.00 X 0 0 0 WILLIAM HOMKA BOARD MEMBER 1.00 X 0 0 0 JANICE KRUKOFF BOARD MEMBER 1.00 X 0 0 0 FERDINAND LOPEZ BOARD MEMBER 1.00 X 0 0 0 JAMIE STIPPEL BOARD MEMBER 1.00 X 0 0 0 TAMMY TAYLOR BOARD MEMBER 1.00 X 0 0 0 MICHELLE COCHRAN EXECUTIVE DIRECTOR (THROUGH AUGUST 2017) 50.00 X 77077 0 19818 JAMES KAECH CEO (AS OF AUGUST 2017) 50.00 X 67500 0 13555 LEE PODOLL CFO (THROUGH NOV 2017) 50.00 X 0 0 0 DARLENE DUMAIS-ALLEN CFO (AS OF NOVEMBER 2017) 50.00 X 11635 0 0 ANN NORA EHRET DO MEDICAL DIRECTOR 40.00 X 253003 0 34584 MEGAN SAMECKI MD PHYSICIAN 40.00 X 201662 0 45732 PSALMER RICHMOND DDS DIRECTOR OF DENTAL SERVICES 40.00 X 145231 0 27732 RAMONA THOMPSON DIRECTOR OF CLINICAL SERVICES 40.00 X 111765 0 43788 867873 0 185209 4 0 1 0 0 2022271 39975 2062246 PATIENT REVENUES 624100 2693915 2693915 2693915 4566 4566 86400 0 86400 86400 86400 MISCELLANEOUS INCOME 624100 1767 1767 1767 4848894 2693915 0 92733 223694 201325 22369 2299688 1827192 472496 87050 78461 8589 426380 384309 42071 197354 177881 19473 29754 26146 3608 113908 100095 13813 381318 335077 46241 40906 31154 9752 10913 6315 4598 180402 139092 41310 45751 34844 10907 500 381 119 3851 2933 918 249680 129200 120480 90958 36868 54090 MISCELLANEOUS EXPENSES 494603 376686 117917 SUPPLIES 284628 225263 59365 BAD DEBT 231759 227061 4698 DUES & SUBSCRIPTIONS 7985 6081 1904 5401082 4346364 1054718 0 236409 309748 452359 446076 647799 379420 45909 66031 39771 22126 7984772 6343131 1833353 1641641 619144 430212 5825 3250 3880569 3298504 398957 385743 59477 34635 458434 420378 X 2969776 2392074 452359 486052 3422135 2878126 3880569 3298504 -552188 8179 0 X 0 1 X 1 1 1 X 1327521 1460955 1742465 1580766 2062246 8173953 1327521 1460955 1742465 1580766 2062246 8173953 8173953 83397 93625 80760 91319 90966 440067 217755 100489 100429 13528 1767 433968 9047988 20200814 0.90340 0.99350 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME 44991 44991 6356615 4925312 1431303 1583166 1417819 165347 1641641 X 4804353 8179 8179 4796174 52720 52720 4848894 5401082 0 5401082 0 5401082 PART X, LINE 2: NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS BECAUSE THE CLINIC IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 12,745. TEMPORARILY RESTRICTED CONTRIBUTIONS 39,975. X X X 0 0 0 0 0 0 0 0 0 ANN NORA EHRET DO MEDICAL DIRECTOR 253003 0 0 0 0 0 24000 0 10584 0 287587 0 0 0 MEGAN SAMECKI MD PHYSICIAN 201662 0 0 0 0 0 18000 0 27732 0 247394 0 0 0 PSALMER RICHMOND DDS DIRECTOR OF DENTAL SERVICES 145231 0 0 0 0 0 0 0 27732 0 172963 0 0 0 RAMONA THOMPSON DIRECTOR OF CLINICAL SERVICES 111765 0 0 0 0 0 24000 0 19788 0 155553 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE OFFICERS OF THE BOARD SERVE AS AN EXECUTIVE COMMITTEE. THEIR FUNCTION IS TO APPROVE OPERATIONAL REQUIREMENTS ON WHICH ACTION MAY BE REQUIRED BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS, AND OTHER RELATED DUTIES AS DETERMINED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 3 THROUGH OCTOBER 2017, THE ORGANIZATION CONTRACTED WITH COMMUNITY LINK CONSULTING TO PROVIDE FINANCIAL MANAGEMENT SERVICES. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S ADMINISTRATION, THEN PRESENTED TO THE FINANCE COMMITTEE, AND THEN TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS PERFORMS INTERNAL MONITORING OF EACH MEMBERS' ASSOCIATIONS AND RELATIONSHIPS ON AN ANNUAL BASIS SO THAT NO MEMBER IS IN A DECISION MAKING PROCESS THAT CAN BE UNDULY INFLUENCED THROUGH A PRIOR RELATIONSHIP. A MEMBER OF THE BOARD WHO HAS A FINANCIAL, FIDUCIARY OR OTHER DIRECT INTEREST IN ANY SPECIFIC ISSUE BEFORE THE BOARD ABSTAINS FROM VOTING ON THAT ISSUE. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY SUSPECTED OR ACTUAL CONFLICT OF INTEREST FOR PURPOSES OF DETERMINATION BY THE BOARD. ANY BOARD MEMBER MAY ASK THE BOARD TO RESOLVE ANY QUESTION OF CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15A FOR THE CEO, THE BOARD OF DIRECTORS GATHERS VARIOUS PIECES OF INFORMATION IN DETERMINING COMPENSATION. THEY UTILIZE THE ALASKA STATE SALARY SURVEYS AND SALARY INFORMATION PROVIDED BY THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION. OTHER FACTORS INVOLVED IN THE DETERMINATION ARE AS FOLLOWS: JOB DESCRIPTION, COMPENSATION HISTORY, PERFORMANCE GOALS ACHIEVED, AND OVERALL PERFORMANCE OF THE ORGANIZATION. THE BOARD MEETS IN AN EXECUTIVE SESSION TO FINALIZE THE COMPENSATION PIECE OF THE CEO'S CONTRACT. THIS PROCESS IS COMPLETED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, BOARD CODE OF ETHICS, AND GRIEVANCE POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S MONTHLY FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE BOARD OF DIRECTORS' MONTHLY MEETINGS.